JENNA NICOLE SMITH

FAYETTE, MO
NPI1477142941
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MO  2020022274)
Enumeration Date2021-01-11
Last Update Date2021-01-11
Business Address
JENNA NICOLE SMITH LAT, ATC
411 CENTRAL METHODIST SQ STE 1
FAYETTE, MO 65248-1198
Phone number: 660-248-6978
Mailing Address
JENNA NICOLE SMITH LAT, ATC
106 S MULBERRY ST
FAYETTE, MO 65248-1316
Phone number: 916-862-5469
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